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目的了解医患双方对家属代理同意的认识与态度、探究制约患者自主知情同意的因素。方法随机选取96名临床医师、230名住院患者及其家属,采用自制问卷进行调查。结果患者对家属代理同意的态度受其自身年龄、经济状况、医疗保障、生活自理能力和学历的影响;家属倾向于向年老、低收入、生活不能自理的患者隐瞒病情;除法律规定外,避免与家属产生纠纷是医生更注重与家属沟通的主要目的。结论法律制度、家属对知情同意作用的认识及患者自身的年龄、经济状况、自理能力是影响患者自主知情同意的主要因素。
Objective To understand the understanding and attitude of both doctors and patients on the agreement of family members and agents and explore the factors that restrict the patients’ informed consent. Methods A total of 96 clinicians, 230 inpatients and their relatives were randomly selected and investigated by self-made questionnaire. Results The attitude of the patients to their relatives’ consent was influenced by their own age, economic status, medical insurance, living self-care ability and academic qualifications. Relatives tended to conceal their illness from patients who were elderly, with low income and unable to take care of themselves. Except for the law, Avoiding dispute with family members is the main purpose of doctors to pay more attention to communicate with family members. Conclusion The legal system, family members’ understanding of the role of informed consent and the patient’s own age, economic status and self-care ability are the main factors that affect the patient’s informed consent.